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Rheumatology

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Question:

How is clinical presentation of CPPD?

Author: H K



Answer:

Asymptomatic (Lanthanic, radio chondrocalcinosis most common form, hyaline cartilage and fibrocartilage of knees, triangular ligament of wrist , of pubis symphysis, acetabulum) Acute Pseudogout (acute monoarticular/oligoarticular arthritis, 25% of cases, acute monoarthritis with pain and swelling, olyarticular may occur on occasion, could be precipitated by MI, CHF, stroke, surgery, trauma increasing calcium level) Pseudo-osteoarthritis (MCP, wrists, elbows, shoulders unlikely, knees, spine occur in primary osteo-arthritis, 50% of all cases and half are pseudogout) PseudoRA (5% of pt, symmetrical inflammation of PIP and MCP morning stiffness and joint swelling) Pseudoneuropathic joints (<5% of pt, severe destructive arthropathy, no clear neuro disorder present, chondrocalcinosis on Xray_


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H K
H K